Definitions
Medications
Nursing Actions
Psychosocial
Postmortem Care
100
What the acronym D.N.R. stands for.
What is "Do Not Resuscitate"?
100
What the acronym P.C.A. stands for.
What is "Patient-Controlled Anesthesia"?
100
Nursing actions implemented to evaluate the side effects of opioids (name three).
What is monitor respiratory status, monitor level of consciousness, assess bowel sounds, examine characteristics of bowel movements/patterns, administer laxatives as ordered.
100
A professional the patient may be referred to in order to help cope with depression.
What is a psychologist or psychiatrist?
100
Those who should be encouraged to participate in after death planning for the patient, as much as possible or desired by the patient.
What is/are the caregiver(s)?
200
Part of the process of dealing with a loved one's death.
What is bereavement?
200
Major side effects of opiate pain relievers (name three).
What is sedation, respiratory depression, constipation, hypotension, nausea, vomiting, dry mouth.
200
The most reliable way of determining a patient's level of pain.
What is the patient's own description?
200
A potentially important component of the patient's psychosocial support system that may help the patient and his/her family cope with the spiritual aspect of impending death.
What is a chaplain/religious advisor?
200
Actions that the family may wish to carry out once the patient has died (name two).
What is provide care the deceased's hands/face/hair, spend time with the deceased relative/friend?
300
A "break" taken be caregivers.
What is respite?
300
A medication used to combat nausea, vomiting, and/or anorexia, which are potential adverse effects of chemotherapy.
What are antiemetics?
300
Non-pharmacological methods of coping with sleep disturbances that the nurse may implement with/teach the client (name two).
What is fresh bedding, backrub, soft music/relaxation tapes, self-hypnosis, and guided imagery.
300
The greatest fear of most hospice patients.
What is being left alone to die?
300
The first thing the family should be encouraged to do in the situation that their loved one dies.
What is call the Hospice nurse.
400
The goal is symptom control and comfort measures, not healing.
What is palliative care?
400
What classification of medications may be ordered to treat possible psychosocial disturbances (two).
What are anti-anxiety and antidepressant agents?
400
Nursing action geared at preventing odors associated with hospice care that may be embarrassing for the patient.
What is aerosolized sprays, a few drops of wintergreen oil on a cotton ball, charcoal filter dressing, or mechanical air filter.
400
Often the form of communication that makes the biggest impact for the hospice patient.
What is nonverbal communication?
400
It is an appropriate emotion to show in order to convey to the family--and patient, before death--that you do indeed care.
What is grief or sadness?
500
Consists of being very difficult or impossible to arouse, shallow respirations of fewer than 10-12 breaths per minute, and pinpoint pupills.
What is somnolent?
500
Three strengths of opioids and one example of each.
What is Mild Opioids--hydrocodone, propoxyphene, Mid-Range Opioids--oxycodone (OxyContin), and Strong Opioids--morphine sulfate (Astramorph PF), levorphanol tartrate (Levo-Dromoran), transdermal fentanyl citrate (Actiq, Sublimaze)?
500
Nursing actions that help the patient to cope with anorexia (name two).
What is eliminating unpleasant odors, providing socialization while food is being served (TV, Radio, companionship, etc.), provide mouth care prior to meals, administer antiemetics about one half hour before meals as ordered.
500
People who may need just as much, if not more, emotional support during the time surrounding death than the patient.
What is the patient's family?
500
Important information the hospice nurse should encourage the client's caregiver(s) to have on hand after the death of their loved one (name three).
What is time of death, last medication administered (including dosage and time given), client's condition during the last 8 hours, name/address/phone number of the funeral home, name/address/phone number of the next of kin, when client was last seen by a registered nurse and/or the case manager?
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